{
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  "reporting_entity_type": "THIRD PARTY ADMINISTRATOR",
  "issuer_name": "Regence Group Administrators",
  "plan_sponsor_name": "ATS AUTOMATION",
  "plan_name": "ATS AUTOMATION - PPO PLAN, ATS AUTOMATION",
  "plan_id_type": "ein",
  "plan_id": "980404228",
  "plan_market_type": "group",
  "last_updated_on": "2026-10-05",
  "version": "2.0.0",
  "out_of_network": [
    {
      "name": "PARTIAL HOSPITALIZATION SERV",
      "billing_code_type": "HCPCS",
      "billing_code_type_version": "2026",
      "billing_code": "S0201",
      "description": "PARTIAL HOSPITALIZATION SERV",
      "allowed_amounts": [
        {
          "tin": {
            "type": "ein",
            "value": "994781431"
          },
          "service_code": ["89"],
          "billing_class": "institutional",
          "payments": [
            {
              "allowed_amount": 613.84,
              "providers": [
                {
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                  "npi": [1730902420]
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}